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Suggest Remedies For Pressure And Pain In The Ribs

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Posted on Tue, 10 Oct 2017
Question: What can cause soreness and pain on right side under upper ribcage?
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Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Reflux disorder or gastritis.

Detailed Answer:
Hi,

Most likely these symptoms are because of gastritis and reflux disease.

It is a chronic digestive disease. It occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe. The backwash irritates the lining of your esophagus and causes, heart burn, chest pain. Both acid reflux and heart burn are a part of GERD. The presence of gastritis may have proved additive to your symptoms.

Suggestion-
Initially, go for an ultrasound abdomen to rule out any possible pathology.
If USG is normal to follow this treatment for 5 days. and please revert back to me how you feel after that.

Take acotiamide- Acotiamide is a new drug and is very effective in controlling symptoms and esophagitis. In clinical trials- Acotiamide, a gastrointestinal motility modulator, at a standard dose of 100mg thrice daily has significantly affected esophageal motor functions. Along with it take a PPI/antacid (eg. Pantoprazole 40 mg twice daily).

Apart from medicines few other life style changes are advised-
- Increase warm water intake
- Do not drink water during and after meals
- Eat small meals (rich in fiber), Avoid spicy, oily and heavy meals.
- Eat plentiful "fresh oranges" and "pear "
- Drink COLD milk and AVOID junk food.
- avoid beverages like alcohol /soft-fizzy drinks
- do some exercise early in the morning
- avoid carbonated drinks

No further investigations are advised at present; please discuss with your gastroenterologist to take the suggestions and follow them for 5-7 days (if not relieved an upper G.I endoscopy may be planned).

Feel free to ask further.
Regards
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Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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Suggest Remedies For Pressure And Pain In The Ribs

Brief Answer: Reflux disorder or gastritis. Detailed Answer: Hi, Most likely these symptoms are because of gastritis and reflux disease. It is a chronic digestive disease. It occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe. The backwash irritates the lining of your esophagus and causes, heart burn, chest pain. Both acid reflux and heart burn are a part of GERD. The presence of gastritis may have proved additive to your symptoms. Suggestion- Initially, go for an ultrasound abdomen to rule out any possible pathology. If USG is normal to follow this treatment for 5 days. and please revert back to me how you feel after that. Take acotiamide- Acotiamide is a new drug and is very effective in controlling symptoms and esophagitis. In clinical trials- Acotiamide, a gastrointestinal motility modulator, at a standard dose of 100mg thrice daily has significantly affected esophageal motor functions. Along with it take a PPI/antacid (eg. Pantoprazole 40 mg twice daily). Apart from medicines few other life style changes are advised- - Increase warm water intake - Do not drink water during and after meals - Eat small meals (rich in fiber), Avoid spicy, oily and heavy meals. - Eat plentiful "fresh oranges" and "pear " - Drink COLD milk and AVOID junk food. - avoid beverages like alcohol /soft-fizzy drinks - do some exercise early in the morning - avoid carbonated drinks No further investigations are advised at present; please discuss with your gastroenterologist to take the suggestions and follow them for 5-7 days (if not relieved an upper G.I endoscopy may be planned). Feel free to ask further. Regards